Organization Active NPI

Melinda Myers MD

  • Dermatology Physician
  • Walnut Creek, CA
National Provider Identifier
1679639439
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MELINDA MYERS MD
Practice address
1776 Ygnacio Valley Rd
Suite 206
Walnut Creek, CA 94598-3190
Phone
(909) 335-8638
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melinda Myers, MDNPI 1194722702
Title
Owner
Phone
(909) 335-8638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1776 Ygnacio Valley Rd
Suite 206
Walnut Creek, CA 94598-3190

Mailing address

PO Box 51197
Dept 1901
Los Angeles, CA 90051-5497

National Provider Directory

National Provider Directory

Locations

1776 Ygnacio Valley Rd
Ste 206
Walnut Creek, CA 94598
Phone (925) 278-1792

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679639439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51197",
            "address_2": "DEPT 1901",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900515497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD",
            "address_2": "SUITE 206",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983190",
            "telephone_number": "909-335-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA MYERS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-335-8638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.